1830 Kathryn Cir
Use BLUE or BLACK Ink
I For Office Use
Permit#:417j
City of Ea
Ra~
d I Permit Fee: 135 ~`7 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: -(7-7-7
Phone: (651) 675-5675 I /~1 I
Fax: (651) 675-5694 I Staff: L I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~v Site Address: 1 y r~~~ \Yt ` (p~
Tenant: Suite M
RESIDENT/ OWNER Name IC.S Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: ~,_Z_rtG~
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: &E OI /bl Irlij Z)Z4 License Q o l '7 1? 3Li
Address: ~ ( C E [n City: .S
State:
11 Zip: Phone:
Contact: L Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accorda a with the approved plan in the case of work which requires a review and approval of plans.
ti
x x
Applicant's Prided Name Applicant's Signatur
Page 1 of 2
Use BLUE or BLACK Ink
For Office Us ~iJ 1
j Permit 7
I
yC/
Eap j Permit Fee:
Ciq of 1
3830 Pilot Knob Road f
Eagan MN 55122 j Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 L Staff:---------------
2010 MECHANICAL PERMIT APPLICATION
n
Date: S \ Site Address: h r
Tenant: Suite
e.Ssl `C110.`L Phone: U 1 ~`~r1 ~Cl~ 3
RESIDENT / OWNER Name: _
Address / City / Zip: r
3
Address: i' L City: , V, A ~
State: Zip: S, Phone: ° y
Contact:N `h L- J S N e, Email: ~e l; U ri'1
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE 1~ Furnace New Construction _ Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install / - Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) S
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Calf at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.nopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x s ~1-e x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: "----Under Ground i Rough In -Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
CITY OF EAGAN
Addition ATt Rahn First Addition Lot 13 Bik I Pefcei #In ilqnn 13Q01
owner_Y:???r Street 1830 Kathyrn Circle state Eagan, MN 55122
_P:) _ &)i-- _ Z I "L I ? EG%a., » ; ? i
Improvement Date Amount Annual Years Payment Receipt Date •
STREET SURF.
STREETRESTOR. l 1992 273.94 A011558 10-14-82
GRADING
V 1186.7b A011558 10-14-82
SAN SEW TRUNK
SEWERLATERAL 177.02 A011558 10 -14 -H2
* s w QlD 4163.59 " "
' WATERMAIN
* WATER LATERAL
WATER AREA ?1
STORMSEWTRK (?? 3 276.32 A011558 10-14-82
* STORM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STREET LIGHT
240.00 33138 11-22-82
WATER CONN. 420.00
BUILDING PER.
SAC n n
PARK 280,00 20704 912190
C1t1eS D1g1
itv Control
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0 CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wecarvEo
FROM
anaouNr $ I ?
a DOLLARS
;oe
? CASH E] CHECK
VYhite-Payers Copy
Yellow-Posting Copy
Pink-Fila Copy
Thank You
?? BY
r 4
J
BUILDING PERMlT
Site /lddi
Lot
Porul .#
1
3745 Pilet Kwob Roea Eayan, MN as12'l 79 rj9
PHONEs 454-E100 .
Reteipt # - .
Erect []
Alter ?
Repoir 0
Enlorpe O
move ?
Demolish p
Grade r1
Occupanq
Zoning
Fire Zone
Type of Canst.
# $toriBS
Length
Depth Sq. Ft.
Fees
Block Sec/Sub. r r ;ta? s 1 s':
oc Nome . ,
W
; Address -'' ;' •
U _
?p Name
?
Address
o?.---
Nome
-8777
I hereby acknowledga thot I hove read this cppiicotion ond stote that
fhe informotion is torrect und ogree to comply with oll opplicCble
Stote of Minnesotn Srotutes and City of Eogon Ordinances.
Assessment _
Woter & Sew.
POIiCe
Firo
Eny.
Plonner
Councl l
Bldp. Off. _
APC
Permit
$urchorpe
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Total
Sipnoture of Permittee I
/1 Buiiding Pertnit is issued to: on the exprcss condition tFx,i
oll work shotl be done in occordonce with all opplic.oble Stote of Minnesota Stotutes and City of Eopan Ordinances.
Buildinq Officiol
Parmit No. Parmit Holdor Misc. Permit No. Holder
Piumbinp ?t 9--7 ba- r rq(4?PE ?L
H.v.a.c.
wau
Wetsr
Disp.
SavNr
Ebetric o53 ? h°`?' rCt?i 1 Z-Z7-
•
Inspection Date Infp. Other
Footinys 11-18-8 Z
Foundatfon
Freming .
Rouph Plbg.
Rough HVAC
Inwlation
Final Plbg.
Final HVAC ?
Final Lv
water Describo Location:
VY'ell ?
Sewsr . .?
Pr. D'isp.
J
eviLDiHG rERMIT
CITY OF EAGAN
3830 Pilot Keob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
Receipf
Site Addrea 1. P3 U F:A'I' Tt RY?Y C 1: RCL E
Lot 13 Block I ?ec/Sub. IiRT RAF'N
Parcel No.
ft Narime 0 `':•;?
W
? Addf84$
City
Name
? Address
City
?W
t? Name
i? Addresa
u
? W City
1 hercby acknowladqe thot I haw read this opplication ond state that
tM inlormotion is OorreCt aetid Ogree to tomply wifh afl oppliCOblt
Stch oi Minnesota Stotutes ond Ciry of Eaqan O?dinonus.
Siqnoture of Pennittee `.
A Buildinq Pennit is isswd to:
oll work sholl be dorw in occardonce with oll opplicpble State of Mir
Buildinp Of/itiol
; Y356
? .
Erect (;(1 Oceupancy
Remodel ? Zoning
Repair ? Type of Conct.
AddRion ? No. Storia
Move ? Length
Demollsh ? Depth
Int Impr. ? Sq. Ft.
Assessment permit D • U U
Woter & Sew. Surcharge 1.00
Police Plan Review
Fin SAC
Erq. Water Conn.
Planner Water Meter
Countil Road Unit
Bldg. Off. 6 7 g S Tr. PI.
APC parlcs
Var. Date CoWeS
Total ? .`? ? • ? U
dl tFN txpflff COndifiOn 1hOt
wro Statutes ond City ot Eaqan O?dironus.
~ PWmit No. Pormit Hoider Dan Telephons ?
Plupnbinp
H.VA.C.
ENetric
Softowr
Irweotion Date Insp. Othw
Footin9a I F
Footings II
Foundatlon
Framinp
Roofing
Rough Plbg.
Rough Htp.
Insul.
Firoplace
Final Htg.
Flnal Plbq.
Final 1
Cart/Occ.
Watsr Dowribe Location:
Well
Sewmr
Pr. Disp.
Receipt - -
CITY
1. Date 2.Insta
3. Job Address
4. Owner
Permit No.
Fee
S/C ?
Tot.
? Tract r 5. Contractor Phone "
6. Address - 7. City State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New 0 Add 11 Alter ? Repair 11
10. Describe Fuel Type
11.
No. Eaujpment 8TU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
Rough
Inspections: Date Insp.
for
F inal
Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
? _-. - -- - ? , .- ---?
Receipt - PLUMBING PERMIT Permit No. -_'
CITY OF EAGAN Fee "
Fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. I I Tract ?- 4. Owner
5. Contractoi fPhone
,.
?
6. Address •,?,._ ?• , t"? l? ?'?/-7 i i? r`
7. City . • ' State Zip ?Y
$. Building Type: Residential 0 Commercial O Institutional D
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs Septic Tank
Lavatory Softner
_L Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is tr e and correct, and I agree to
comply with all ordinances and codes gOvernin?this type of work.
Signed :
for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN WATER SERVICE PERMIT
379b Pilot Knob Roed PERMIT NO.:
6a flae, MN 35122 DATE:
Zoning: No. of Units:
Owner. :'.r - , '?.o? - ?-
/lddross:
Site Address: '- ,• h r. rZ?- .
Piumber:
Meter No.: Connection Charge:
Size: Accourrt Deposit:
Reader No.: Pertnit Fee:
I a9me rocomPlr wilh !bs Citp oi Eagan Surcharge:
Ordlnanaes. Misc. Charpes: .
Total:
8Y
Dote of Insp.: Date Paid:
InSp,;
CITY OF EAGAN SEVNER SERVICE PERMIT
3793 Plbt Kwob Reed PERMIT NO.:
Eayon, MN 55122 DATE:
ZO"'^g' No. of Units:
Ownll:
Address:
Site Addrcss: ' ' ^?? ?• ? r- , .Ti: ?,' "
Plumber:
, . . . t r? i` ,
•..
I egre? M eaa?plr wlH? !hs Citi oi Eo9on Connection Choroe: '
Oralnenea. Account Deposit:
Permit Foe:
Surchorpe:
eY Mtsc. Ctrae+yes:
Dote of Insp.: Totcl:
Insp.: Date Paid:
C??r#iftrtt?r uf (?rr?t?ttnr?
Citp of (Eagan
bcpttrtmrnt nf Builhing Jnsperiimt
Tbu Ce+tificau iaturd purruant to tbc nquiremcr+tr of Seaion 306 of tbe Uniform Building
Code rtrtifying that at t!x tinu of itruana thir rtnirlure wat in compliana witb tbe vuriour
adenanra o f tht City rrgulotirog 6ui/diag ronttrttrtion or ute. Far t!x follavixiK:
U.c.wamim SF DWG/GAR nao.h,,,;,Na. 7670
u-? rrv. R3 rrwcm..u. VII Frc? NA z," ww« Rl
Marriott Homes. Inc.,_.9549 Clinton Ave.,Bloomit
baJu 1983
B?? A? ?: March 4,
. IM . WWIWWI MC.
??yisE?1 S?? oF-
?' QTy pF hTC-AN Include 2 sets of plans,
? - 1 site plan w/elevations &
?4t- `??"'?0 BUILDING PERMCT APPLICATION 1 set of energy calculations.
l
To Be Used Fbr S`F bw Gc?r- Valuation Date 7.^ ft Z
site Address 0_41t't";LN OFFICE OSE ILY
Iot B1ocJc Sec./Sub.t l? Occupanoy ??
Parcel #: 1 d ( l? 0o I 30 0? Alter Zoning
Owner: ?'T /LfJrrifaC /N('
Aaaress: /Av r01\r /-v C-
City/Zip Code: 8/-oen.o ra Ai AAL/.
Phone #:
Contractor:
Address:
City/Zip Code:
Phore #:
Arch./Eng.: y !?!= & /G S
Address:
City/Zip Code: 1?0/ -VA
Phone #: " ?s 7 7
1;?apair Fire Zone
Enlarge _ 'Iype of Const.
Nbve # Stories
Demolish Fmnt ? ft.
Grade Depth 2y ft.
Tdater/Seaer
Police _
Fire
Surcharye
Plan Check
SAC
o?
0
glq. Water Conn.
Plarner Water Meter
Council Road Unit
Bldg. Of?
P.PC
Ttl'PAL I -7 5 ` SC7
CITY OF EAL"aAN
9793 Pllef Kno6 Raad Esyan, MN 55132 NO ?/ s'7 0
PHONE: 431-8100 7?
BUILDING PERMIT rteceipt
Sih Address 10.
Lot 13 Block
Pa,cei # 10
Z
?
rc
oU
u?4
f
z
L&w
_Z
x?
pW
e
1 Set/$ub. Art Rahn 18t
1900 130 01
Nome ?rriutL nuwen, anc.
nddress 9549 Clinton Ave.
Nome 0wIIeT'
Addreu
Nume _
Address
I hereby ackrwwledga thof I have read this opplication ond store ihat
fhe information is correct ond ogree to comply with oll opplicable
Stote of Minnesota Statutes and City of Eogan Ordinances.
Signofure of Permittea
!1 Building Permit is issued to: MerTiOYt
oll work shall be done in occordance wltii all oppl
Buliding Officicl R
Erect ffi Occupancy ?''
Alter ? 2oning R-S
Repoir ? Fire Zone MA
Enlarpa ? Type of Const. Vn
Move 0 # Stories
Demolish ? Length 46
Grade ? Depth z6 Sq. Ft.-
Aporovols Foes
Assessment _
Water 8 Sew.
Police -
Fire
Eng.
Planner _
Councii ^
Bldg. Off. _
APC
Permit i« • VU
Surcharge 31.50
Plon check 161.00
snc 525.00
Warer Conn k 20 • 0 0
WaterMeter 60.00
Roaa Unir 240.00
Toeol $1759.50
n tha express condition tMi
of Eugan Ordinontes.
- CITY OF EAGAN N? 1 3 6 6
3830 Pilot Knob Raad, P.O. Boz 21•199, Eagan, MN 55121 ? ??
I PHONE: 4548100 dr'7'
.?
BUtLDING PERMIT
TO M w,d Ier UB(:1(/1-Vltl:ri Esf. Volue ;?17V1
SiteAddreas 1830 KATHRYN CIRCLE
Lot 13 glak 1 aeelSub. ART RAHN 1ST
Parcel No.
W Neme JOHN & JULIE WELLS
? qdd,m SAME
cicy vnone 454-0628
Name ?
? Addresa
City Phone
Nsme _
Address
Phone
I hereby acknowledqe tMt 1 haw raad this pplicotion ond state thot
fha inlormofion is conect ogree M nply with oll applicable
Stob of Minnesota Stat as nd iry f qo rdi rxa:
Sipnoturo of Permi L`^ '
A euildin9 Pemir Is iss JOHN WELLS
all work sMll be doro accordanee with oll appl{ le StoM qf Mi'
Buildinp Offidal ('?'
Receipt *
JUNE 7 .., 85
Erect Cil Ocwpency
Remodel ? 2oning
Repair ? Type af Conct.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impc ? SQ. F[.
Install ?
Apprwalf ieet
Assessment Permit azj • UU
Wafer S Sew. Surchelge 1.00
Police Plen Review
Fl ro SAC
Erp. WeterCOnn
PlanMf WaterMeter
Council Roed Unit
BIdg.Off. 6/7/85 Tr.PL
APC Par9cs
Var. Dete C?ies,
Total $26.00
on tM exprest corditlon Ihot
rwta tatyeas ond City o} Eopon Ordironcaa.
REQUEST FOR ELECTRICAL INSPECTION
See matrucbons ior comple<ine ihis form on back of Vellow copy.
"%V' Be/"ow5pori oJered by Thrs Request
*.w EB-00001.04
35(A 3
Ney, AAd Nep. Tyoe ol Bwldmg Appliances Wfred EquiVment N41ed
Home Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. Bwlding Dryer Electric Heatin
Commercial Bidg. Furnace Silo Unloader
InAustrial BIAy. Air ConAitioner Bulk Milk Tank
Farm Other I peufy Other lSDer.ifvl
t er pecMy t er Oth,,r
Compute /nspection Fee Below
# Fee Se"iceEntrenceSize k Fee Feaders/5abfeetlars N Pnx Grcurts
`0,00 U to 200 Amps {0 Z5.4 0 to 30 Am s 0 to 30 Amps,
Above 200 qinps 'L j,O 37 to 100 Amps 31 to 100 Am
Swimming Pool Above 700_Am s Above 100_Amps
Transtormers IrrigaLOn Booms 17,0
Partial'Other Fee
Signs Specialinspection ^
S f \
T
Femarks ? J,Sj O/L?E J
/ n..
Poueh-in Date
I,t hical
• .? Inspector, hereby
? certilV that the above
Final ? Uate ins
? pecdon has bean
?ea.
o ' tf--Y
Thla reauesi voia 18 months from
ThisrequestvoidlL,lz?
18 months from
W 058151
Fequest Date
q p Q y
O
, Fire No. RouPh-sn inspecUOn
Req
wrad?
?Aeady Now Wi
ll Nolify InsPoc-
Wh
?
ZL
L?-•
(? (
YOS ? Nu
? r.
enReatlY
U
LmenseA Elec[nwl ConVaclor 1 hereby request insoecLOn of above ?
? Owner elecVical work ins<elled eC
Street Atldress, Box or Route No.
J
12 Crty ?
,
D
:,, (D vvA-?
ectmn o. Township Name or W. Ranpe No. Coun?y ?
?
Or,capant(PflINT)
m avt.w? l?s? Phone No.
Powe up0 ier ?
Q Adtlress •
4
st
ntl?. aoo uo
w't
Electnc I ConVactor (ComeanV Neme) .
1'+(1
-
O
£ Cnnna<-mr?s License No.
1
?
ti
-Wc
??.?L
.e??L
i
MadinB P.d
4 dress ICon[ractor or Owner Makinp Ins[ailaLOnl
w ? O, S, . (hP> >
Au[hon d SiBnature (COntr tor Owner Making Installauon) Ph ne Number
%2S' - R QZ3
MINNESOTA STATE BOAHD OF ELECTRICITV THIS INSPECTION pEQUEST WILL NOT
Griggs-Midwav Bldg. - Noom N-191 BE ACCEPTED BV THE STqTE BOAPD
1821 Unrversrtp Ave.. SL Paul. MN 55104 UNIESS PqOPER INSPECTION fEE IS
e.___ 1-1 1o 11.1 ENCLOSEO.
1985 HUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCOLATIONS
To Be Used For: ?C ?
` / U luation: . Date:
Site Address: ,ja k/A4rvA) Uvje OFFICE USE ONLY
Lot: ? 3 Block ' Sect/Sub Erect (Z Occupancy
Remodel Zoning
Parcel II Repair Type of Const
'?` Enlarge ll of Stories
Owner U1
?a?r Q-m5 Move _ Length
' Demolish Depth
Address 1936 Grade _ Sq Ft
City/Zip Code ?pT i1- S,S(a ? ---------------------------------°
Phone 05qQ?08 APPROVALS
Contractor Assessments Permit 2 5.=
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg 0ff Parks
Arch./Engr. APC Treatment P1
Variance
? ?
?
Address TOTAL •
City/Zip Code
Phone U
[-
?
S I O MA W.O. iza-az sook i/ 29
BURVEYiNO
Survey For:
SEFIVICES
3908 Sibley Memorial Highway
Eagan, Minnesota 55122
7 ?i4RRdOTT HOMES
7
Phone: (612) 452-30
D p
KATHRYN CIRCLE
C,.b r?
??
" ---- _j--
-
-
- - ?
_ _
-
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.,
S890 022 E 81.00 M
,
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n ?
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10
;?; -rr---- Pr
5ec?
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?Housq w/?tuck-underGarage
,
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0 9 Prop. Garaqe Floor Elev.=. 99.8? ?
f Fl
El
=
95
5
+
B
I o
?
asemen
oor
ev.
?
.
r
? N Prop.
Sce le: 1" = 20' N
Prop. Fronf Entry Elev. = 100.1
Prop. !sf
0 Denotes iron floor Elev. 1045 = I?
s
oiwment Set. -
?'
•4'?? ?
??
? = ? ? ?? `? ? K
A ^
? W
?
ro
_c>c. _ iya1? K ?
p q _- yb
w?*
? Denotes iron J A
,_ ?
_
monument Found
,+16 Existing Spot Elev. fa?c
i I O.a:w
? pra• I
i?
_?
a.j?
(945) Prup. Spot Elev.
?ZQ W V_
I
*Bearings Shown Hereon ao
Are Bdsed On Assumed
00
?
Da [um* o $ s?° • X
W
U -
a
R.R Tle 0.d.
v ??
X96.2 •
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Dta?na?a ? V??I??y EaSev?e?'t in
?s •
in_.r--'?-
- ?':
:i ; ' --• N 89°40'22"W 81.00 ---
_
I hereby certify that this is a true NOTE: Elevations Shown Hereon
and correct representation of the Are Based on Assumed Datum.
boundaries of: *The Top Nut Hydrant at the
Lot 13, Block 1, ART RAHN FIRST SW Cor. of Lot 2 is Assumed
to be Elev. 100,00 ft. *
ADDITION, Dakota County, Minn.
It also shows the location of a proposed
house. As surveyed by me this 16th day of
November, 1982.
b U44- o -
Wayne D. ordes, Registered Land Surveyor
MinnesoLa Registration No. 14675
?
X
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use �J ��
Permit #: 1 x/11!
�v�
Permit Fee: r
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /� % Site Address: ��(� L.�IT-'�(iyl"l 17'c/c_ Unit #:
Resident/
Owner
Name: t/4'7tit7 ( s ;,Es -C.. Phone: ‘/,.2 5.3 6`./ 2
Address / City / Zip: /. /0 e45 4- ,._z--34,,-/-_,„„,../ ifJ .5 z,, r /4L'
Applicant is: Owner ?( Contractor
Type of Work
Description of work: .0e...."...0,o ic,— h l'O�
oL.-r.L, st LJ-' �,. s )/
Construction Cost: 600-`- Multi -Family Building: (Yes / No�J- )
Contractor
If the project is exempt
Company: ,u.r, `ctr4e,. 4.°1(t,"fill c -L Co, -,31 -v4 -c."---/ Contact: -777 vk-". Lt +-,dse-.7.
Address: 4/CYf 2 / Y"4- ay.e.. "' ¢ City: Ko. -15 )4 /.1,1-4.-0,
State: /3/ l.. Zip: 3rd / Z Phone: Gr 5-/- 76 7 -SLS 2
License #: f5 d 7,,E' /SS- Lead Certificate #: Mar 59 b --
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
,• ' . • . e • • i • a • • as :u - • ,� a • ti - _ -` e . '.. _ , ;.... . ,:. ;:. . .. .. o '. :`
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
Applicant's
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120614
Date Issued:02/24/2014
Permit Category:ePermit
Site Address: 1830 Kathryn Cir
Lot:13 Block: 1 Addition: Art Rahn
PID:10-11900-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Melodee Murphy
2411 7th St Nw
Rochester, MN 55901
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ih3 Property Minnesota Lp
5509 N Cumberland Ave
Ste 505
Chicago IL 60656
(952) 563-1950
Tonna Mechanical
2411 7th St. NW
Rochester MN 55901
(507) 288-1908
Applicant/Permitee: Signature Issued By: Signature
41'.
City or8appan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR ti 7 7
Use BLUE or BLACK Ink
1
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11151/Ji
Site Address: /8 3D tikr77/I G0(1 d 1 ea
J
Tenant: Suite #:
Name: Phone:
Address / City / Zip:
Name: yak 1.4,t'z
License #: 06-9 ('
Address: 71c City: d� ,
State: in-at/g/ Zip: 3-37r, S Phone: •,57:-.1/3---"7- 13.E
Contact:
t
Email: /7-1✓ Ni -4114. ttr !' / qui- .--
_ New _/Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: / t 'l.`-8 "°�� e` if -5 664.3`)
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 0
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
f 10v1A
Applicant's Printed Name
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133501
Date Issued:10/16/2015
Permit Category:ePermit
Site Address: 1830 Kathryn Cir
Lot:13 Block: 1 Addition: Art Rahn
PID:10-11900-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ih3 Property Minnesota Lp
5509 N Cumberland Ave
Ste 505
Chicago IL 60656
R & T Home Improvements Llc
1221 McKay Dr
Andover MN 55304
(763) 232-6888
Applicant/Permitee: Signature Issued By: Signature